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Dix-Hallpike - tests for vertigo

Posted By: ER MT on 2006-08-24
In Reply to: VNG testing - trose

Subject: Dix-Hallpike - tests for vertigo

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Sorry, that "t" should not be there. It is Dix-Hallpike nm
Subject: Sorry, that "t" should not be there. It is Dix-Hallpike nm

.
Hallpike?
Subject: Hallpike?


Hallpike maneuver nm
Subject: Hallpike maneuver nm

x
here ya go. tDix-Hallpike sm
Subject: here ya go. tDix-Hallpike sm

VNG line tracings showing both Dix-Hallpike positioning and supine positional tests
Hallpike Barany
Subject: Hallpike Barany


Hallpike maneuver?
Subject: Hallpike maneuver?

xx
Hallpike maneuver nm
Subject: Hallpike maneuver nm


Nevermind - Dix-Hallpike
Subject: Nevermind - Dix-Hallpike


What are we maneuvering? Looks like Dix-Hallpike maneuver? nm
Subject: What are we maneuvering? Looks like Dix-Hallpike maneuver? nm


Dix-Hallpike test? See message for links r.
Subject: Dix-Hallpike test? See message for links r.

http://www.earinfosite.org/atoz.htm
Hallpike is one word. See the link I gave you etc. nm
Subject: Hallpike is one word. See the link I gave you etc. nm


Dix-Hallpike Maneuver (Nylan-Barany Test).
Subject: Dix-Hallpike Maneuver (Nylan-Barany Test).

...???
Found it. My neuro book lists Hallpike maneuver
Subject: Found it. My neuro book lists Hallpike maneuver


vertigo
Subject: vertigo

electronystagmogram  maybe ????
vertigo
Subject: vertigo

....called otoliths or ear crystals.
Positional Vertigo
Subject: Positional Vertigo

Hello!  Doc is prescribing what sounds like canula three positioning maneuvers' sheet to review.  Any clue what canula could be?  I know of Cawthorne exercises for vertigo, but he is definitely not saying that.


 


Thanks! 


Link for you RE: vertigo etc. sm
Subject: Link for you RE: vertigo etc. sm

http://www.earinfosite.org/atoz.htm
acircular vertigo
Subject: acircular vertigo

Has anyone every heard of acircular or circular vertigo? Thanks for your help!
acircular vertigo
Subject: acircular vertigo

Thanks for your help!
had dizziness and vertigo
Subject: had dizziness and vertigo


Can you hear vertigo in there at all?
Subject: Can you hear vertigo in there at all?


yes, I can hear vertigo.
Subject: yes, I can hear vertigo.

But now the sentence is more jumbled!! What I've already transcribed is this:

ENT: There has been no tinnitus, ______(dass?), or vertigo. _______ (s/l no-known??)

The very last term seems to be at the end of the EYES subheading as well. I can't make it out.

Denies vertigo?
Subject: Denies vertigo?

I think "denies" would be the middle word I'm missing, but I'm still clueless about the last term. I don't even know how to describe it. Thanks for your help, though.
vertigo secondary to BPPH? sm
Subject: vertigo secondary to BPPH? sm

This is in diagnosis. Not BPH, BPPH. Thanks.
figured it out. It was vertical. Pt has vertigo. Thanks anyways.
Subject: figured it out. It was vertical. Pt has vertigo. Thanks anyways.


I believe it is, Fukuda test for vertigo.
Subject: I believe it is, Fukuda test for vertigo.

x
It was for question of vertigo. You nailed it!
Subject: It was for question of vertigo. You nailed it!

Yet again! Thanks so much!
There's Antivert for vertigo/dizziness? nm
Subject: There's Antivert for vertigo/dizziness? nm

,,
vertigo medication, s/l xelodipine sm
Subject: vertigo medication, s/l xelodipine sm

was also placed on xelodipine ______ and meclizine for her vertigo


Doctor spells it as "Zlopapine"  ;o)  I have looked at generic ambien, zolpidem and do not think an insomnia drug would work.  I have had this drug come up in a couple different reports as well and it's driving me crazy that I can't find it.  I have tried Z and X beginnings.  Thanks for any help! 


Kidney stones and vertigo...
Subject: Kidney stones and vertigo...

Pertaining to kidney stones and vertigo.  S/L she is saying "cath sift-erization"


*levorastertam* 500 bid. Patient has vertigo??? Thanks. nm
Subject: *levorastertam* 500 bid. Patient has vertigo??? Thanks. nm

nm
Nylan-Barany for vertigo ?
Subject: Nylan-Barany for vertigo ?


tinnitus, dizziness or vertigo?
Subject: tinnitus, dizziness or vertigo?


Maybe, tinnitus, dizziness or vertigo.
Subject: Maybe, tinnitus, dizziness or vertigo.


There is Nylen-Bárány maneuver for vertigo etc. sm
Subject: There is Nylen-Bárány maneuver for vertigo etc. sm

eMedicine - Labyrinthitis : Article by Nicholas Lorenzo, MD




Nylen-Bárány maneuver: While the patient is seated at the end of the examining ... Nylen-Bárány and Hallpike maneuvers may be performed in the ED setting. ...
www.emedicine.com/emerg/topic290.htm - 96k - Cached - Similar pages


Without sentence, I'm guessing vertigo and vestibulopathy - nm
Subject: Without sentence, I'm guessing vertigo and vestibulopathy - nm

nm
Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm
Subject: Pt with vertigo with s/l "a lith a tory" or with orthostatic changes. sm

He states that he has lightheaded sensation and vertigo on change of position of the head, whether it is __ or with orthostatic positional changes.  (Later in dictation, doc says "His dizziness is associated with head position.  However, it is both with head turning side to side, as well as orthostasis.", so the word seems to be related to the turning head maybe??)
Patient with vertigo. s/l Nylan test was positive to the right.
Subject: Patient with vertigo. s/l Nylan test was positive to the right.

This was under neuro exam in addition to rapid alternating movements were normal. Romberg was negative.
Patient was placed on s/l phental for vertigo in adhesion to Pletal. TIA!
Subject: Patient was placed on s/l phental for vertigo in adhesion to Pletal. TIA!


s/l *sentinator* complex on brain MRI scan - patient has vertigo??? Thanks. nm
Subject: s/l *sentinator* complex on brain MRI scan - patient has vertigo??? Thanks. nm

nm
Epley-neuro(vertigo) Apley-ortho(knee)
Subject: Epley-neuro(vertigo) Apley-ortho(knee)

//
Fukuda marching step test for symptoms of Meniere's, vertigo
Subject: Fukuda marching step test for symptoms of Meniere's, vertigo


The Dix - Hallpike test (also called Nylen - Bárány test). Link for you.
Subject: The Dix - Hallpike test (also called Nylen - Bárány test). Link for you.

http://www.earinfosite.org/atoz.htm
For vertigo - says patient has normal Rinne, ______ and Weber testing. Sounded like Rumaud?
Subject: For vertigo - says patient has normal Rinne, ______ and Weber testing. Sounded like Rumaud?

/
Tests
Could it be Spurling?

http://www.slackbooks.com/view.asp?slackCode=45910


Lab tests
Subject: Lab tests

I cannot understand this doctor at all. Help me please!


Hematocrit, hemoglobin and protime partial thromboclastindime within normal limits.


What the heck is that supposed to be?


lab tests....sm
Subject: lab tests....sm

Here are 2 sites for lab tests.

http://www.labtestsonline.org/

and

http://health.ucsd.edu/labref/alpprea.html
tests
Subject: tests

Positive startle.  Postive s/l Munro.  Positive suck. 


 


tests
Subject: tests

No easy way to clue in for this without giving you the answer. Check out this web link for your tests.


 


http://www.suite101.com/blog/daisyelaine/anca_and_autoimmune_diseases


 


 


Lab tests
Subject: Lab tests

use commas because each is a separate lab test: rheumatoid factor, etc.
Rosie

tests, sm
Subject: tests, sm

From Stedman's Ortho:


Trendelenburg


Beckhterev OR Bekhterev sitting


Ely


Soto-Hall


Spurling